Diagnosis and treatment of esophageal leiomyoma.
- Author:
Ru-heng ZHENG
1
;
Ming-xiang FENG
;
Di GE
;
Ying-yong HOU
Author Information
- Publication Type:Journal Article
- MeSH: Esophageal Neoplasms; diagnostic imaging; surgery; Female; Follow-Up Studies; Humans; Leiomyoma; diagnostic imaging; surgery; Male; Middle Aged; Thoracoscopy; Ultrasonography
- From: Chinese Journal of Gastrointestinal Surgery 2005;8(1):26-28
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience of diagnosis and treatment of esophageal leiomyoma.
METHODSClinical data of 52 patients with esophageal leiomyoma were analyzed from 1993 to 2002.
RESULTSAbout 54% patients in this group had difficulty of food intake. The diagnostic accuracy of gastrointestinal barium meal series, computed tomography, gastric endoscope and endoscopic ultrasonography (EUS) for esophageal leiomyoma was 64% 44% 27% and 90% respectively. All patients received operation, resection of esophageal leiomyoma by videothoracoscopy (VAS) and endoscope were performed in 6, 9 patients respectively. The remaining 37 patients received regular open operation,in whom 32 cases received enucleation of esophageal leiomyoma, 5 cases received partial esophageal resection and esophageal-gastric anastomosis. No serious complications occurred except only one case needed operation again because of bleeding.
CONCLUSIONEUS is an effective method for diagnosing esophageal leiomyoma. VAS and endoscopic treatment should be considered for suitable cases in order to reduce the trauma.
